doe application - HOOPS 4 Life

This form must be completed for Participants under 18 years of age.

To be completed by the parent/guardian.

Parent/Guardian Full name

Home Address

State/Territory

Postcode

Phone number

Alternate Phone

Email

Participant Name

Name of Award Unit (e.g. School/Organisation/Group)

As the parent/guardian of the Participant , I consent to him/her participating in The Duke of Edinburgh’s International Award (The Duke of Ed), under the supervision of Above-mentioned School/Organisation/Group, and to him/her undertaking activities to fulfill the requirements of The Duke of Ed.

Parent/Guardian Signature

Date